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Healthcare Fraud: Who Can Help You About Legal Matters?

Law - Gauri Nigudkar - September 20, 2023

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Legally, healthcare fraud is a crime in which healthcare claims are filed dishonestly to profit illegally from the payments received. There are various types of healthcare fraud, including those taken out by healthcare practitioners and committed by healthcare insurance members. The prosecutions are under the federal False Claims Act.

Handling prosecutions legally under this title is explained by healthcare criminal defense lawyers under the federal False Claims Act covers.

Different types of healthcare fraud

There are different types of healthcare fraud, namely:

  • Snake oil marketing
  • Health insurance fraud
  • Drug fraud
  • Medical fraud

Health insurance fraud happens when a company or an individual cheats an insurer or government health care program, such as:

  • Medicare
  • Equivalent State programs

Healthcare fraud costs

It is a type of fraud in that customers of the healthcare organizations paid for the money robbed. Legal experts estimate a tenth of every dollar spent on healthcare goes wasted on fraudulent claims. In healthcare fraud, a patient undergoes the following:

  • unnecessary tests
  • evaluations
  • treatments
  • procedures

Moreover, health insurance premiums possibly go up because of the heavy claims paid out. Overall, taxes may raise the payment of health insurance claims.

How does a healthcare criminal defense lawyer save medical organizations?

Medical practices and organizations may face risk legally and financially. It is confusing and overwhelming when navigating complex medical issues. But, healthcare criminal defense lawyers on your side help protect a medical organization from potential risks and liabilities. Here are ways healthcare lawyers protect a medical organization:

  • Administrative and regulatory compliance
  • Data security and privacy compliance
  • Healthcare consulting
  • Healthcare fraud and abuse
  • Healthcare transaction negotiation
  • Litigation and appeal

Healthcare fraud and abuse!

False accusations of healthcare fraud and abuse ruin the reputation and financial livelihood of the medical organization. Contrarily, proven true accusations can prove catastrophic. When these situations happen or arise on the legality of a proposed healthcare arrangement, a healthcare criminal defense lawyer can assist in navigating these challenging issues. If needed, crafting a defense before a court hearing protects you and your practice from these threats.

Benefits of hiring a healthcare criminal defense lawyer

Hiring a healthcare criminal defense lawyer can be crucial if you or your healthcare organization are facing criminal charges or investigations related to healthcare fraud, regulatory violations, or other healthcare-related crimes. These attorneys specialize in defending clients in the healthcare industry and can provide several benefits:

  • Specialized knowledge
  • Protection of rights
  • Investigation and evidence review
  • Negotiation skills
  • Trial experience
  • Minimizing penalties
  • Reputation management:
  • Compliance guidance
  • Peace of mind
  • Customized strategy

Hiring a healthcare criminal defense lawyer helps healthcare organizations face criminal charges or investigations in the healthcare industry.

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